Lethargy after Sarolaner (Simparica) in dogs

The FDA has received 1,852 reports of lethargy in dogs after Sarolaner. That is 11% of all reports for this medicine, compared with 11% across reports for all dog medicines.

1,852Reports
34%Marked serious
25%Recovered
6.2%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
824 48%
1–2 days
515 30%
3–7 days
142 8.3%
1–4 weeks
114 6.6%
Over a month
126 7.3%

How the animals did

Recovered
466 25%
Recovered with lasting effects
1 0.1%
Still unwell when reported
742 40%
Died
55 3.0%
Euthanised
59 3.2%
Not known
529 29%

Problems reported at the same time

Age of the animals

Under 1 year
166
1–3 years
466
4–7 years
518
8–11 years
417
12+ years
208

About this medicine

Sarolaner kills fleas, ticks and some mites; monthly.

Products with this ingredient include Simparica. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

In 2018 the FDA alerted owners and vets that isoxazoline products have been associated with neurologic reactions such as muscle tremors, wobbliness (ataxia) and seizures, including in animals with no history of them.

Questions owners ask

Can Sarolaner cause lethargy in dogs?
1,852 reports link the two, but a report alone does not prove the medicine was the cause: other illnesses, other medicines or coincidence can be involved. Your vet can judge it for your animal.
How soon after a dose was it reported?
In half of the reports with dates, it started within 1 day of the first dose.
What should I do?
Don't give another dose until you've spoken to your vet, and keep the packaging so you can tell them the product and dose. Your vet can also report it to the FDA (or you can, through the manufacturer or FDA form 1932a).

Lethargy with similar medicines

All reported side effects of Sarolaner in dogs · Medicines most reported with lethargy